DR. EDWARD S. KWAK M.D. NPI 1568514412

NPI Information

  • NPI: 1568514412
  • Provider Name: DR. EDWARD S. KWAK, M.D.
  • Classification: Otolaryngology - 207YS0123X
  • Specialization: Facial Plastic Surgery
  • Entity Type: Individual
  • CLIA Number: 33D2118182
  • Address: 737 PARK AVE APT 1D
    NEW YORK, NY
    ZIP 10021
  • Phone: (212) 229-1100

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NPI Details

DR. Edward S. Kwak, M.D. is a facial plastic surgery otolaryngology in New York, NY. The provider is an otolaryngologist who specializes in facial plastic surgery. DR. Edward S. Kwak, M.D. NPI is 1568514412. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

737 PARK AVE APT 1D
NEW YORK, NY
ZIP 10021-264
Phone: (212) 229-1100
Fax: (212) 229-1105

The CLIA number assigned to this NPI record is 33D2118182 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)

The enumeration date for this NPI number is 1/18/2007 and was last updated on 1/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist236600NEW YORKNo
2207YS0123XOtolaryngologyFacial Plastic Surgery236600NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102877961MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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